Home HealthTopics Health Centers Reference Library Search NetWellnessSearch   Advanced

Pharmacy and Medications

Viagara and blood pressure

10/29/2003

Question:

I`m a man and 65. I`m impotent and have high blood pressure. My doctor tells me that I need to be careful about taking Viagara along with my other blood pressure drugs because my blood pressure may go low and I might pass out or even die I guess. I don`t understand. Viagara seems to build up blood pressure to make me erect. I asked my doctor and he was confusing. Can you explain this to me better?

Answer:

Impotence is medically defined as the inability to sustain an erection sufficient for intercourse in at least 25% of attempts. Impotence may be caused by poor filling of the penis with blood to start an erection. While it may appear to increase pressure in the penis during an erection, sildenafil (Viagra) actually relaxes (dilates) blood vessels in the penis to help fill it. Sildenafil use requires close monitoring when taken with other blood pressure medicines because it also dilates other blood vessels throughout the body to some extent. The combined effect from both types of drugs may lower the blood pressure too much. When sildenafil has been taken along with nitroglycerin or other "nitro" vasodilators, potentially life-threatening drops in blood pressure have been reported. For this reason, doctors are concerned about their patients taking sildenafil along with other blood pressure medications. Please contact your doctor or pharmacist for specific questions about the timing of taking your medications or any other issue.

Submitted by Jim Drewett, Ph.D., Pharm.D. candidate, University of Cincinnati

For more information:

Go to the Pharmacy and Medications health topic, where you can:

Response by:

University of Cincinnati Jan Scaglione, BS MT, PharmD ,DABAT
Assistant Professor of Pharmacy Practice
Drug and Poison Information Center
Cincinnati Children’s Hospital Medical Center
University of Cincinnati